Natalya Juson D.M.D., LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9140 Issued in OR

Legal business name

NATALYA JUSON D.M.D., LLC

Practice address

11619 NE Glisan St
Portland, OR 97220-2262

Phone

(503) 475-2645

NPI assigned

May 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Natalya A Juson, D.M.D.

Title

Dentist

Phone

(503) 475-2645

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273363200000",
    "number": "1285952754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202262",
            "telephone_number": "503-475-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11619 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202262",
            "telephone_number": "503-475-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA JUSON D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-09",
        "last_updated": "2010-05-09",
        "status": "A",
        "authorized_official_last_name": "JUSON",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-475-2645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farooq Nasserziayee, D.M.D.
• Naima Hussein Nassir
• Allison Ruth Nasson, QMHA
• Evelyn C. Nast, PH.D.
• Anthony Natale
• Ulaganathan Natarajan, MD MPH
• Divya Vembanur Natesan, MD
• Debdeep Nath, N.P.
• Nathan C. Pool Chiropractic Clinic, Inc
• National College of Natural Medicine

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.